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RWI92614 AIDS Services Foundation Orange County dba Radiant Health Centers (Active)
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Main Details
Name
AIDS Services Foundation Orange County dba Radiant Health Centers
Subdivision Name
Type
Ryan White Part A
340B ID
RWI92614
Grant Number
H89HA00019
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/6/2018
Last Recertification Date
2/28/2025
Time Period the Assistance was Received
3/1/2025 - 2/28/2026
Contacts
Authorizing Official
AIDS Services Foundation Orange County dba Radiant Health Centers
Danielle Nagao, CFO
(714) 264-2709
Primary Contact
AIDS Services Foundation Orange County dba Radiant Health Centers
Brandi Tatman, Project Manager
(949) 809-5723
Addresses
Street Address
17982 Sky Park Circle
Suite J
Irvine, CA 92614
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participating from effective date (1/1/2015) until terminated effective date (4/1/2018), reinstatement date (July 1, 2018)
04/03/2018
April 2025
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